Income Limits and Cost

To qualify for the insurance coverage through the Health Insurance Marketplaces, income will be based on a percentage of the Federal Poverty Limit (FPL) Guidelines. This will also control the maximum amount of net health insurance premiums individual will pay through the Marketplace.

Income Limits Based On Federal Poverty Limit (FPL) Guidelines

Household Size

100% of FPL

133% of FPL

150% of FPL

200% of FPL

250% of FPL

300% of FPL

350% of FPL

400% of FPL

1

11,490

15,282

17,235

22,980

28,725

34,470

40,215

45,960

2

15,510

20,628

23,265

31,020

38,775

46,530

54,285

62,040

3

19,530

25,975

29,295

39,060

48,825

58,590

68,355

78,120

4

23,550

31,322

35,325

47,100

58,875

70,650

82,425

94,200

5

27,570

36,668

41,355

55,140

68,925

82,710

96,495

110,280

6

31,590

42,015

47,385

63,180

78,975

94,770

110,565

126,360

7

35,610

47,361

53,415

71,220

89,025

106,830

124,635

142,440

8

39,630

52,708

59,445

79,260

99,075

118,890

138,705

158,520

Cost
By definition an insurance plan premium that exceeds 9.5% of a person’s income (after the Premium Tax Credit) does not meet the law’s requirement to be affordable.

Maximum Net Premium Contribution As Percentage of Income

Household Income Level
(% Above Federal Poverty Level)

Maximum Net Premium Contribution As A
Percentage of Income After Premium Tax Credit